FORM 1023-EZ for TOPANGA ATHLETICS YOUTH BOARD INC

Field Data
EIN 83-2361917
Case Number EO-2019030-000502
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOPANGA ATHLETICS YOUTH BOARD INC
Organization’s Mailing Address 7513 QUIMBY AVENUE
City WEST HILLS
State CA
ZIP 91307-1531
Accounting period End 12
Primary contact name SERGIY M SIVOCHEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC MEDINA
PRESIDENT / DIRECTOR
7513 QUIMBY AVE
WEST HILLS CA 91307-1531

Officer/Director/Trustee Two

NORMA MEDINA
CHIEF FINANCIAL OFFICER / DIRECTOR
22128 COHASSET STREET
CANOGA PARK CA 91303-1124

Officer/Director/Trustee Three

JUAN ESTRADA
VICE PRESIDENT / DIRECTOR
318 N WORKMAN STREET
SAN FERNANDO CA 91340-2730

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERIC MEDINA
Signature Title PRESIDENT / DIRECTOR
Signature Date 12/29/18

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